Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03762 | Date 21/02/2019 |
| Token No | SM/18-19/9181 21/02/2019 | Serial | 043 Last Visit: 21/02/2019 |
| Patient Name | Mr. JIYA SHAW | Contact No | 9903217412 |
| Address | GOLAKDHAM N.S AVENUE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||